Differential Diagnosis of Oral and Maxillofacial Diseases for the
Non-Dental Provider
U.S. Public Health Service
John A. Logan College
Objectives1. Ask correct questions and utilize the
history of the patient’s oral disease process as the first step in gathering information.
2. Learn to evaluate characteristic appearances of oral lesions during the clinical examination.
3. Narrow the list of diagnostic possibilities in order to prioritize patients for referral.
Non-Objectives
No specific diagnosis
Physiologic pigmentation
Physiologic pigmentation
Physiologic Pigmentation
Physiologic Pigmentation
Physiologic Pigmentation
Physiologic Pigmentation
Call the Coroner!
Post-inflammatory Pigmentation
Fissured Tongue
extensive
grooves and
fissures over
the entire
dorsal
surface
Burning Mouth
Syndrome
Geographic Tongue
Geographic Tongue
erythema migrans,
ectopic geographic tongue
benign migratory glossitis
Geographic Tongue
Geographic Tongue
Treatment
dexamethasonediphenhydramine
Median Rhomboid Glossitis
Median Rhomboid Glossitis
Median Rhomboid Glossitis Treatment
1. antifungal therapy
2. topical corticosteroids
3.neuropathic pain analgesics
Median Rhomboid Glossitis
Median Rhomboid Glossitis
Angular Cheilitis
Angular Cheilitis
Traumatic Ulceration
Traumatic Ulceration
Toothbrush Abrasion
Chronic Hyperplastic Pulpitis
Periodontal disease
Inflammatory Papillary Hyperplasia
Inflammatory Papillary Hyperplasia
Inflammatory Papillary Hyperplasia
Hemangioma (compressed)